Study Design: This is a randomized, controlled trial assessing the impact of nature sights and sounds (NSS) on pain control in oncology outpatients undergoing bone marrow aspirate and biopsy (BMBx) in the Weinberg Cancer Center at Johns Hopkins. One hundred twenty patients will be assigned to one of three groups: 1) standard care, 2) NSS, 3) Music/Photo. The primary outcome will be pain scores during the procedures as measured by the Hopkins Pain Rating Instrument (HPRI). Patients in all groups will receive analgesic medications as dictated by the personnel performing the procedure and the physicians responsible for their clinical care. Patients in the NSS group will have Bedscapes nature scene murals placed at the bedside in a location that is visible throughout the procedure. They will also listen to a complementary audiotape during the procedure. The music/photo group will listen to city sounds during the procedure and view a poster of a city skyline.